Next Vial
Fully online GLP-1 telehealth marketplace connecting patients with licensed providers for compounded semaglutide and tirzepatide injections, including microdose options.
- Semaglutide
- $250/mo (compounded)
- Tirzepatide
- Not disclosed
- Coverage
- 49 states
- Brand-name
- Compounded only
Weigh Next Vial against the full graded field on the best semaglutide providers scorecard, or line it up against its closest alternatives. Because Next Vial dispenses compounded medication, it’s worth understanding whether compounded semaglutide is legit and safe.
Factor breakdown
Each of the six graded dimensions. See the methodology.
Strengths
- LegitScript verified with named pharmacy partner (Manifest Pharmacy, Greer, SC)
- No membership fees — one all-in price covering consultation, medication, and shipping
- Compounded semaglutide, tirzepatide, and microdose options available
- Free rushed shipping; serves 49 states nationwide
- Board-certified physician oversight with ongoing provider support
Where it loses points
- Tirzepatide pricing not listed publicly (starting price covers GLP-1 generally)
- Compounded medications are not FDA-approved
- Labs and nutritional coaching not disclosed
- Microdose pricing not published on product page
- Alaska not listed among served states
Bottom line — Grade C
Best for: People seeking compounded GLP-1 care with LegitScript certification and a named pharmacy partner.
Ranked #383 of 544 on this scorecard. See our top-scoring pick, CoreAge Rx (#1), for comparison.
Closest here
The rankings grading nearest Next Vial — the realistic shortlist.
Thriving Again is a US telehealth platform positioned around premium men's health and optimization, with hormone/TRT, peptides, and a GLP-1 weight loss line.
Established Tampa Bay medical weight-loss clinic operating since 2000 with four Florida locations.
Prime Health (joinprimehealth.com) is a LegitScript-certified GLP-1 telehealth platform offering compounded semaglutide and tirzepatide for weight loss.
Aspire Health is a Nebraska-based telehealth practice offering both compounded semaglutide/tirzepatide (formulated with B6) and brand-name Wegovy and Zepbound, prescribed by a named PA/NP clinical team.
Ravia Health is a Florida-based integrative psychiatry telehealth practice founded by Dr. Raashida Portier (DNP, PMHNP-BC, FNP-BC), offering GLP-1 weight-loss therapy (semaglutide and tirzepatide) alongside mental health and metabolic care.
Spry is a weight-loss and anti-aging telehealth platform pairing compounded semaglutide ($199/mo) and tirzepatide ($299/mo) with three longevity peptides — BPC-157, NAD+, and sermorelin ($249–$299/mo).
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Pricing/verification reflect Next Vial's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on Next Vial's site. Not medical advice; see our disclosure.